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Transmittals

  • Implementation of Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Amounts Using Information from the National Competitive Bidding Program (CBP)
  • Implementation of Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Amounts Using Information from the National Competitive Bidding Program (CBP)
  • Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation
  • Therapy Cap Values for Calendar Year (CY) 2016
  • Therapy Cap Values for Calendar Year (CY) 2016
  • Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update
  • Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update
  • New Influenza Virus Vaccine Code
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update
  • Chronic Care Management (CCM) services for Rural Health Clinics (RHCs) and Federal Qualified Health Centers (FQHCs)
  • System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) Analysis Only
  • Revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals
  • Claim Status Category and Claim Status Codes Update
  • Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE
  • Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • System Specific Enhancement 2015: Remove Direct Claim Updates within the Daily Batch Cycle Analysis and Design CR
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016
  • Instructions for Downloading the Medicare ZIP Code File for April 2016
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